EPZ PROJECT ENVIRONMENTAL PROFILE (TEMPLATE)
A.
PROJECT PROPONENTS
Give details of the proponent(s)
Name of company/entity
Contact person
1.
2.
3.
Address /Tel/email/website
B.
PROJECT DESCRIPTION
C.
PROJECT LOCATION AND SCALE (Give details of location proposed, size of and, size of
building and its immediate environs).
D.
PRODUCTION PROCESS (Attach production flow chart)
E.
INPUTS AND INTERMEDIATE PRODUCTS.
i)
Raw material usage
Name
1.
2.
3.
4.
5.
6.
Annual usage (indicate unit)
ii)
Chemicals
Indicate all chemicals to be used
1
Source (Local/Imported)
Chemical Name
1
2
3
4
5
6
F.
Purpose
Qty/year
WASTE PRODUCTS
(i)
Solid wastes
Name
1
2
3
4
5
(ii)
Nature
Effluents (Liquid)
Name
From process use
From floor washing
From cooling
From human use
(iii)
Kg/Yr
Litres/year
Proposed in-house treatment
Gaseous Emissions
Quantity /year
G.
Proposed disposal
NOISE/VIBRATION
List any high Intensity noise and/or vibration generating machinery/equipment
(please specify)
1. …………………………………………………………………………………………………………………………………..
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2. …………………………………………………………………………………………………………………………………..
3. …………………………………………………………………………………………………………………………………..
4. …………………………………………………………………………………………………………………………………..
H.
HAZARDOUS MATERIALS – List any potentially hazardous material (please specify)
Potentially Hazardous Materials
1.
2.
3.
I.
Possible Impact/Injury/Hazard
FIRE RISK
List any potentially inflammable materials/processes
Potentially flammable materials/processes
1
2
3
J.
IMPACT OR HAZARD MITIGATION
Please state how you would plan to mitigate any of the impacts or hazards listed in items D to I
above
Hazard or Impact Identified
How to be mitigated
1
2
3
4
5
6
7
K. SIGNATURES
3
Submitted by (name and designation) ------------------------------------------------------------Signed
Date:
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